IndividualActive
Larry Taylor
NPI 1154742880 · Addiction (Substance Use Disorder) Psychologist · Mequon, WI
Provider details
- NPI number
- 1154742880
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 16901-130 (WI)
Practice location
10532 N Port Washington Rd
Mequon, WI 53092-5563
Phone: (262) 242-3810
Fax: (262) 242-3816
Mailing address
Po Box 241141
Milwaukee, WI 53224-9027
Registry dates
- Enumerated
- 2013-12-24
- Last updated
- 2013-12-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.